Differences in BMI obesity measures in a workers compensation population: a cross-sectional study.

Ann Med Surg (Lond)

Department of Pediatrics, The Institute for Translational Genomics and Population Sciences, The Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center, Torrance, California, USA.

Published: May 2023

Unlabelled: To assess the accuracy of BMI compared to directly measured dual-energy X-ray absorptiometry percent body fat (DEXA %BF) among a worker compensation population.

Methods: The agreement between BMI and DEXA %BF was assessed by the Pearson correlation coefficient among 1394 evaluable patients over a 5-year period. Sensitivity and specificity were calculated to measure how well BMI can identify true obese and nonobese individuals.

Results: Using at least 30kg/m to identify obesity, BNI had a specificity of 0.658 and a sensitivity of 0.735. The correlation was better in females at 0.66, compared to males at 0.55, and weaker in older age groups at 0.42, as compared to the youngest age group at 0.59. Overall, 29.8% of the population was reclassified based on their DEXA %BF measures.

Conclusions: In a 5-year cohort worker compensation population, BMI was an inaccurate measure of true obesity.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10205388PMC
http://dx.doi.org/10.1097/MS9.0000000000000428DOI Listing

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